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July 27, 2006

GOVERNOR VETOES BILL REGARDING BURDEN OF PROOF: MHANYS and other advocates for individuals with disabilities were greatly disappointed to learn of Governor Pataki’s veto of A11965 / S.8354 today. This legislation was intended to reinstate the burden of proof in impartial special education hearings on the school districts.

School districts have traditionally had to bear the burden of proof in special education hearings, a burden intentionally placed on school districts in an attempt to level the playing field, given the overwhelming advantage school districts have over parents in legal, informational, personnel and financial resources. Last year, the Supreme Court reversed this practice in their ruling in Shaffer v. Weast that the burden of proof in such hearings would be the responsibility of the parents of children with special needs instead of the school district. Many other states have recognized the problems that arises from this court decision, nine of which have already taken action to enact laws to return the burden to school districts.

In vetoing the bill, the Governor articulated concerns put forth by school districts and others that the bill, if enacted into law, would result in an increase in lawsuits and is not authorized by federal law (despite the fact that other states have enacted such laws). In addition, Governor Pataki articulated his desire to wait to see if Federal regulations may establish a uniform national rule with respect to the burden of proof in such cases, which would preempt this bill were it enacted.

This veto negatively impacts children with disabilities and the parents and advocates who work on their behalf. We just hope this is not a sign of things to come with regard to the Mental Health Housing Waiting List and ‘Boot the SHU’ legislation about to be delivered to the Governor on August 4th, or for Timothy’s Law when it is approved by both houses, hopefully this fall.


CALL IN TO ‘BOOT THE SHU’: Advocates for eliminating the use of solitary confinement for prisoners with psychiatric disabilities met with Governor Pataki’s staff and held a press conference on Tuesday in an effort to get the Governor to sign this legislation into law when it is sent to him on August 4th. Following below are several articles from newspapers throughout New York State.

Please take a moment to call Governor Pataki to urge him to sign the legislation to
‘Boot the SHU’

CALL GOVERNOR PATAKI AT 518-474-8390
and leave the following message:
“I’m a registered voter from (your locality) calling to urge you to improve prison conditions and safety by signing A.3926A into law!”


OUT OF THE DARKNESS COMMUNITY WALKS:

TO BENEFIT THE AMERICAN FOUNDATION
FOR SUICIDE PREVENTION
Proceeds from each of the Out of the Darkness Walks will benefit local and national suicide prevention and awareness programs.

SYRACUSE
“Walk for Josh” on 8/19/06 at the Onondaga Lake Park, Bay Tent location. Registration will be held at the Bay Tent location at 8:00 a.m. Walk will begin at 9:00.
Contact - Debra Graham, MACDAG0153@aol.com

CAPITAL REGION
Walk for Rita on 9/17/06 at the Saratoga Race Course. Registration will be held at the Union Ave. parking area (Main Track) at 9:00 a.m. The walk will begin at 10:00.
Contact – Lisa Riley, LRILEYDoclady@aol.com

ROCHESTER
Out of the Darkness Community Walk – Walk for Suicide Prevention on 10/7/06 at the Genesee Valley Park. Registration will be held at 9:00 a.m. at the Round-House Shelter. The walk will begin at 10:00.
Contact - Anna Cooper, Anna_Cooper@URMC.Rochester.edu

To register, donate or to learn more go to www.outofthedarkness.org.


MHANYS EXTENDS 2006 MEDIA AWARDS NOMINATIONS PERIOD TO SEPTEMBER 1ST: Anyone interested in nominating a newspaper article, television segment or radio broadcast for outstanding coverage of mental health issues should fill out this nomination form or contact Melissa Ramirez at infocenter@mhanys.org or 800 766-6177.

IN THE NEWS:

(Note: A version of this article also appeared in Long Island’s Newsday, The Ithaca Journal, The New York Sun, Syracuse’ WSTM-TV’s website, the Schenectady Daily Gazette, Auburn Citizen and Albany Times Union.)
Bill Directs Care for Mentally Ill Inmates. By Mark Johnson
Buffalo News, July 26, 2006

ALBANY - Despite three previous suicide attempts and a long history of mental illness, 36-year-old James Butler was treated like just another prisoner with disciplinary problems.

He was put in "the box," housed alone in a cell 23 hours a day for months at a time at Fishkill Correctional Facility. Butler, diagnosed with bipolar disorder, took his own life in June 2000, his mother Elsie Butler said Tuesday.

"Putting James in the box did not help him," she said. "It killed him. . . . It was cruel punishment he should not have been forced to endure."

Under a bill being sent to Gov. George E. Pataki on Aug. 4, mentally ill inmates in the state's prisons no longer would be put in solitary confinement. Instead they would be placed in a residential mental health treatment program.

If Pataki signs the bill, New York would join a handful of states, including California, Florida and Texas, that ban the practice of putting mentally ill prisoners in so-called "special housing units," said mental health advocates who came to the State Capitol to push for Pataki's approval of the measure.

State Sen. Michael F. Nozzolio, R-Fayette, and Assemblyman Jeffrion L. Aubrey, D-Queens, sponsors of the bill, say about 8,000, or 12 percent, of the state's 63,500 inmates are affected by serious mental illness. When put in solitary confinement, those prisoners are three times more likely to commit suicide or to mutilate themselves than inmates in the general prison population.

Nearly a quarter of the roughly 7,600 inmates in special housing units are being treated for some type of mental illness. Half of those suffer from depression, and 28 percent suffer from schizophrenia or bipolar disorder, according to a survey by the Correctional Association, a watchdog group for prisoners and their families.

Nozzolio said the bill would also make state prisons safer for staff and inmates by giving treatment to those who need it.

(Note: A similar article also was published in the Utica Observer-Dispatch, The Ithaca Journal and Binghamton Press & Sun Bulletin)
Mentally Ill Inmate Care May Improve - Upgrades await OK from Pataki. By Cara Matthews
Poughkeepsie Journal, July 26, 2006

ALBANY — Elsie Butler of Poughkeepsie first lost her mentally ill son to the prison system, then she lost him for good when he took his own life while incarcerated.

James Butler had bipolar disorder and hanged himself with a sheet in June 2000 after nearly 200 days in solitary confinement. He was 36, Elise Butler said. His death could have been prevented, she said.

On Tuesday, she urged Gov. George Pataki to protect other families by signing legislation to improve mental-health treatment for prisoners and prohibit the placement of those with serious mental illness in solitary confinement, also known as the box.

"As a mother, I ask, would you want such cruelty and such inhumanity to be assigned to your family member?" she asked, her words directed at Pataki, who was not at the news conference.

The Assembly and Senate passed the bill this year. Now it's up to Pataki — who will get the bill Aug. 4 — whether to make it law or veto it.

Members of the coalition Mental Health Alternatives to Solitary Confinement on Tuesday gave the governor a red and white scroll about 150 feet long with some 2,600 petition signatures.

Eleven percent, about 7,500, of the state's prison population is mentally ill, Department of Correctional Services statistics show. They represent 23 percent of inmates in solitary.

If signed, the bill would increase staff and training, as well as prison upgrades. There are no official estimates, but unofficial ones are $20 million or $30 million. Coalition members disputed such figures.

Advocates said it would save money with fewer correction officer injuries, hospital stays and extended sentences linked to inmates' behavior.

Bryce McCann of Hope-well Junction said his nephew, Jesse McCann of Kingston, was a bright, sweet kid whose mental illness was well documented and that most of the three months he served were in the box. He was 17 when he hanged himself in 2001.

"Now I'm just hoping the governor will see the truth and the goodness and the wisdom of doing this," McCann said.


Advocates Urge Pataki to Ban "The Box". By Karen DeWitt
New York Public Radio, July 25, 2006


Family members whose loved ones died while in solitary confinement in state prison, are urging Governor Pataki to sign a bill banning the practice for prisoners with diagnosed mental illness.

They are known as special housing units, small cramped cells that misbehaving prisoners are sent to spend 23 hours out of each day. The tiny unit is also known as "the box", but to relatives of people with mental illness who died while in solitary confinement, it's known as a torture cell.

Elsie Butler's son James, who had a mental illness, committed suicide while in solitary confinement at Fishkill state prison in 2000. She says her son didn't have a chance in the box.

"My James wasn't monitored, and he wasn't treated," Butler said, as she wiped away tears. "He was simply allowed to sink lower and lower as his mind became more tortured and terrified, until he finally passed away."

Butler says she's "mentally and emotionally crushed" by the tragic incident, and continues to visit her son's grave everyday.

The families and mental health advocates believe they are close to ending the practice. They have succeeded in getting a bill passed by the state legislature to ban the box for inmates who are diagnosed with a mental illness. The bill is sponsored by the Chairs of the Senate and Assembly Corrections Committees, Republican Senator Michael Nozzolio and Democratic Assemblyman Jeff Aubrey.

The measure would require that mentally ill prisoners get adequate treatment, and that correctional officers receive better training on how to handle inmates who may be psychotic or delusional.

Prison guards also back the measure, believing that proper medical treatment for mentally ill inmates will make prisons safer for inmates and corrections officers.

The advocates brought a petition signed by over 2000 people urging Governor Pataki to sign the bill.

Bob Corliss, with the National Alliance for the Mentally Ill, says representatives have met with some of Governor Pataki's staff, and understand there are some technical problems with the bill. He says his group is not adverse to the legislature passing any chapter amendments to clean up the legislation, but says he does not think the technicalities should be allowed to derail the bill.


Making Money Off the Mentally Ill. By Jay Neugeboren
The New York Times, July 23, 2006

ON July 12, five people returning to an adult home for the mentally ill in Brooklyn were burned to death in a van. My brother, Robert, could have been one of them.

Robert has been a patient in New York’s mental-health system for more than 40 years and once lived in an adult home similar to Brooklyn Manor, the for-profit institution where the burn victims and four surviving passengers lived.

It’s a grim place to call home. Since the 1980’s, the State Department of Health has repeatedly cited Brooklyn Manor for abuses ranging from insect infestation and lack of heat to staff assaults on patients. This month’s van accident seems to fit the pattern: The license of the van’s driver had been suspended and none of the passengers wore seat belts, the authorities said.

Fortunately for my brother, nearly a decade ago he was discharged from a state mental hospital into the Clinton Residence, a nonprofit home in the Hell’s Kitchen section of New York City. Unlike most for-profit adult homes, the Clinton Residence was designed to house people with mental illness. It provides services on site, eliminating the need to crowd residents into a van and transport them elsewhere.

Since moving there, Robert has achieved new levels of autonomy and well-being. Though he had been hospitalized more than 50 times, and never lived outside a hospital for even two consecutive years, he has not been sent to a hospital for mental or emotional problems in the past seven years.

A month ago, Robert moved to a new residence that affords him greater independence (a room of his own!) and less supervision. In his new life, he travels, attends classes, joins family gatherings, has friends and works at Fountain House, a psychiatric rehabilitation center. He has published a book and is the subject of a docudrama. He has achieved all this because of his extraordinary will, but also because he has received excellent care.

Nonprofit homes like Robert’s cost $25,000 to $30,000 per resident annually. By contrast, taxpayers spend more than $40,000 per year for the often shameful “care” residents receive in for-profit homes. Residents at these facilities generate additional costs in part due to increased hospitalizations and emergency room visits. Yet despite this record of negligence and failure, approximately 30,000 New Yorkers remain in for-profit homes. More than a third of them are mentally ill.

The state is well aware that successful nonprofit alternatives exist. What does not exist, however, is the political will in Albany to ensure that these alternative programs are financed and expanded, affording mentally ill New Yorkers decent places to live and competent, caring staff to help them lead happier, more productive lives.

Scandal at for-profit adult homes is nothing new. Over the years, committees and commissions have analyzed the problems. Studies have been published and promises have been made. But little has changed. Instead of closing the most corrupt and dangerous adult homes, the state has subsidized them with grants to help keep them profitably afloat.

After the rhetoric accompanying the van tragedy fades, I fear we will hear only the same old excuses or, worse, another long silence. But in this case, alas, business as usual is sure to equal tragedy as usual.

The state needs a 10-year plan to develop and finance housing not only for New Yorkers living in adult homes, but for the estimated 20,000 mentally ill who are homeless or living in otherwise degrading conditions. Such a plan would save lives and even money in the long run. To do the right thing, the governor, along with every legislator in Albany, need only answer a simple question: What would you do if your brother — sister, parent, child — had been in that van?

Jay Neugeboren is the author of “Imagining Robert: My Brother, Madness and Survival” and “Transforming Madness: New Lives for People Living with Mental Illness.”

(Note: This article was published in both Long Island’s Newsday and the Binghamton Press & Sun Bulletin)
Older Residents Hit Hard by Heat Wave. By Candice Choi
July 18, 2006

TROY, N.Y. -- Sitting in front of an electric fan, 66-year-old Gerald Dolan bears the oppressive heat by limiting his movements as much as possible.

Like many adult home residents, the former New York City transit worker doesn't have air conditioning and is coping with an 8-inch fan and wide open windows.

"You grin and bear it. That's all you can do really," said Dolan.

As a heat wave blankets much of the nation this week, officials have issued warnings to those caring for the elderly and disabled to take precautions. Yet regulations do not require assisted living and adult care homes to provide air conditioning in New York State and much of the nation.

There are about 1 million residents in assisted living and adult care homes across the country, according to the National Citizen's Coalition for Nursing Home Reform. While these residents are typically not as frail as those living in nursing homes, they represent an elderly and often disabled population who are taking medications that make them sensitive to heat.

"Their sensors are different. Older people might wrap themselves in a sweater and not realize they're overheating," said Cynthia Rudder, spokeswoman for the New York City-based Long Term Care Community Coalition.

While electric fans may provide comfort, fans alone will not prevent heat-related illness when the temperature climbs into the high 90s, according to the Centers for Disease Control and Prevention. Moving to an air-conditioned place is a better safeguard, according to the federal agency.

"Comfortable and safe" temperatures for nursing homes built after 1990 are required under federal regulations, with many states applying stricter mandates, said Lori Smetanka, spokeswoman for the National Citizen's Coalition for Nursing Home Reform.

Federal safeguards do not exist for assisted living and personal care homes. One reason is that the laws are still catching up with those burgeoning segments of the senior housing market, Smetanka said.

New York, which requires air conditioning for newer nursing homes, is updating regulations for assisted living and adult homes. Right now, the state requires adult home operators to ensure residents are not put at risk on hot days. Advocates for the elderly say the language doesn't go far enough.

A survey by the Coalition of Institutionalized Aged and Disabled in New York City found more than half of adult homes in the state did not have air conditioning available in every resident room last year. Most homes have air conditioned common areas, but that's little help to the seniors who spend most their time alone in their rooms, said Geoff Lieberman, executive director for the coalition.

Tracking the number of illnesses or deaths related to heat is difficult because the cause of death is often listed as something general, like stroke or dehydration, according to the coalition.

The Troy Adult Home air-conditioned community rooms are available 24 hours a day.

That's where Dolan heads when it gets too hot in his room. That's not an option at night, however, when he tosses and turns, struggling to fall sleep in the humid room.

"When you're younger you're bulletproof and you can take anything. You get old, and it's nice to be comfortable," Dolan said.